1. Overuse or repetitive activities: Activities that put excessive stress on the Achilles tendon, such as running, jumping, or prolonged walking, can lead to retrocalcaneal bursitis. 

 2. Foot abnormalities: Structural problems with the foot, such as flat feet or high arches, can contribute to the development of bursitis. 

 3. Improper footwear: Wearing shoes that do not provide adequate support or have a tight fit can increase the risk of retrocalcaneal bursitis. 

 4. Injury or trauma: Direct injury or trauma to the heel area, such as a fall or impact, can cause inflammation of the bursa.

 

Symptoms of Retrocalcaneal Bursitis

The most common symptoms of retrocalcaneal bursitis include: 

 1. Pain and tenderness: The affected area at the back of the heel becomes painful and tender, especially during movement or when pressure is applied. 

 2. Swelling and redness: The bursa may become swollen and inflamed, resulting in noticeable swelling and redness around the heel. 

 3. Limited range of motion: As the condition progresses, stiffness and difficulty in moving the ankle and foot may occur. 

 4. Heel spur: In some cases, retrocalcaneal bursitis can lead to the development of a bony protrusion known as a heel spur.

Diagnosis of Retrocalcaneal Bursitis

To diagnose retrocalcaneal bursitis, a healthcare professional will typically perform a thorough physical examination and review the patient’s medical history. They may also order imaging tests, such as an X-ray or MRI, to rule out other conditions and assess the extent of the inflammation.

 

Treatment of Retrocalcaneal Bursitis

The treatment for retrocalcaneal bursitis aims to relieve pain, reduce inflammation, and promote healing. Common treatment options include: 

 1. Rest and activity modification: Avoiding activities that aggravate the condition and allowing sufficient rest can help alleviate symptoms. 

 2. Ice therapy: Applying ice packs to the affected area for about 15-20 minutes several times a day can reduce pain and swelling. 

 3. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation. 

 4. Physical therapy: Specific exercises and stretches can help strengthen the surrounding muscles, improve flexibility, and promote healing. 

 5. Shoe modifications: Wearing shoes with proper support, cushioning, and a wider toe box can help reduce pressure on the affected area. 

 6. Orthotic devices: In some cases, orthotic shoe inserts or heel pads may be prescribed to provide additional support and alleviate symptoms. 

 7. Steroid injections: Corticosteroid injections into the bursa may be considered for severe cases to reduce inflammation and pain.

8. Surgical intervention: In rare cases where conservative measures fail, surgical removal of the inflamed bursa may be recommended.

 

Prevention of Retrocalcaneal Bursitis

To reduce the risk of developing retrocalcaneal bursitis, it is advisable to: 

 1. Gradually increase intensity and duration of physical activities to allow the body to adapt. 

 2. Choose appropriate footwear that provides proper support and cushioning for the feet. 

 3. Incorporate stretching exercises into the warm-up routine before engaging in physical activities. 

 4. Maintain a healthy body weight to reduce stress on the Achilles tendon and the bursa.

Conclusion

Retrocalcaneal bursitis is a condition characterized by inflammation and swelling of the bursa located between the Achilles tendon and the heel bone. It can cause pain, swelling, and limited range of motion in the affected area. Prompt diagnosis and appropriate treatment can help manage symptoms and facilitate recovery. By understanding the causes, symptoms, diagnosis, and treatment options of retrocalcaneal bursitis, individuals can take preventive measures and seek timely medical intervention if necessary.

Retrocalcaneal Bursitis: 10 Frequently Asked Questions

1. What is retrocalcaneal bursitis?

Retrocalcaneal bursitis is a condition characterized by inflammation and swelling of the bursa located between the Achilles tendon and the heel bone. The bursa acts as a cushion, reducing friction and allowing smooth movement of the tendon.

 

2. What causes retrocalcaneal bursitis?

Retrocalcaneal bursitis can be caused by several factors, including overuse or repetitive activities that stress the Achilles tendon, foot abnormalities such as flat feet or high arches, improper footwear, and injury or trauma to the heel area.

 

3. What are the symptoms of retrocalcaneal bursitis?

Common symptoms of retrocalcaneal bursitis include pain and tenderness at the back of the heel, swelling and redness around the heel, limited range of motion in the ankle and foot, and in some cases, the development of a heel spur.

 

4. How is retrocalcaneal bursitis diagnosed?

Diagnosis of retrocalcaneal bursitis typically involves a physical examination and a review of the patient’s medical history. Imaging tests such as X-rays or MRI scans may be ordered to rule out other conditions and assess the extent of inflammation.

 

5. What are the treatment options for retrocalcaneal bursitis?

Treatment for retrocalcaneal bursitis aims to relieve pain, reduce inflammation, and promote healing. It may include rest and activity modification, ice therapy, medications such as NSAIDs, physical therapy, shoe modifications, orthotic devices, steroid injections, and in rare cases, surgical removal of the inflamed bursa.

 

6. How can I prevent retrocalcaneal bursitis?

To reduce the risk of developing retrocalcaneal bursitis, it is advisable to gradually increase the intensity and duration of physical activities, choose appropriate footwear with proper support and cushioning, incorporate stretching exercises into the warm-up routine, and maintain a healthy body weight.

 

7. Can retrocalcaneal bursitis heal on its own?

In some cases, mild retrocalcaneal bursitis may resolve on its own with rest and conservative measures. However, seeking medical attention is recommended for proper diagnosis and guidance on appropriate treatment.

 

8. How long does it take to recover from retrocalcaneal bursitis?

The recovery time for retrocalcaneal bursitis varies depending on the severity of the condition and the chosen treatment approach. With proper rest and treatment, mild cases can often resolve within a few weeks, while more severe cases may require several months of recovery.

 

9. Can retrocalcaneal bursitis reoccur?

Yes, retrocalcaneal bursitis can reoccur, especially if the underlying causes, such as improper footwear or overuse, are not addressed. Following preventive measures, proper footwear, and gradual activity progression can help reduce the risk of recurrence.

 

10. When should I seek medical attention for retrocalcaneal bursitis?

It is advisable to seek medical attention if you experience persistent or worsening pain, swelling, or limited mobility in the affected area. A healthcare professional can provide an accurate diagnosis and recommend appropriate treatment options based on your specific condition.